Nicole Z Russo, CCC-SLP | |
577 Blue Cypress Dr, Groveland, FL 34736-8111 | |
(843) 655-2665 | |
Not Available |
Full Name | Nicole Z Russo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 577 Blue Cypress Dr, Groveland, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710921234 | NPI | - | NPPES |
SA0624 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA10268 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Z Russo, CCC-SLP 577 Blue Cypress Dr, Groveland, FL 34736-8111 Ph: (843) 655-2665 | Nicole Z Russo, CCC-SLP 577 Blue Cypress Dr, Groveland, FL 34736-8111 Ph: (843) 655-2665 |
Mrs. Maegan Laurel Rojan, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15600 Silver Eagle Rd, Groveland, FL 34736 Phone: 425-512-4858 | |
Jennifer Kaminski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1216 Demoiselle St, Groveland, FL 34736 Phone: 352-242-1281 |